| NPI | 1770295057 |
|---|---|
| Doing Business As | EVSA |
| Entity Type | Organization |
| Authorized Contact | CHARLES LAURENT LEVESQUE Owner 480-296-9893 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical |
| Enumeration Date | 2022-12-19 |
| Last Update Date | 2024-04-24 |